1 

## SUPPORTING ST

**AT EMENT**  **FOR P AP**  **ER WORK REDUCTION**  **AC T SUBMISSION** 
**OMB No. 1810 -** **0687 Impact A** **id Program**
**– Ap**  **plication for Section 8003 A ssistance**  **A. Justification 1. Explain the**  **circumstances that make the collection of information necessary. Identify any legal or administrative requirements that necessitate the collection. Attach a copy of the appropriate section**  **of each statute and regulation mandating or authorizing the colle ction of information.**  The U.S. Department of Education is requesting approval for the Application for Assistance under Section 8003 of Title VIII of the Elementary and Secondary Education Act (ESEA) as amended by No Child Left Behind (NCLB). This applica tion is for a grant program otherwise known as Impact Aid Basic Support Payments. Local Educational Agencies (LEAs) whose enrollments and revenues are adversely impacted by Federal activities use this form to request financial assistance. Regulations for the Impact Aid Program are found at 34 CFR 222. The statute and regulations for this program require a variety of data from applicants annually to determine eligibility for the grants and the amount of grant payment under the statutory formula. The least burdensome method of collecting this required information is for each applicant to submit these data through a web

- based electronic application hosted on the Department of Education’s G5 website. This application was previously approved under OMB 1810

-0687. There are no substantive changes to this application. The Department of Education is requesting renewal of its three

-year clearance under the same collection number. **2. Indicate how, by whom, and for what purpose the information is to be used. Except for a new**  **collection, indicate the actual use the agency has made of the information received from the current collection.**  The Impact Aid Program, authorized by Title VIII of the Elementary and Secondary Education Act (ESEA), provides financial assistance to local educational agencies (LEAs) whose enrollment or revenues are adversely affected by Federal activities. The stat ute and implementing regulations (34 CFR Part 222) require information from applicants annually to determine eligibility for and the amount of payments. The least burdensome method of collecting this required information is for each applicant to submit it as part of its annual Impact Aid application, previously approved under OMB 1810

-0687. ED is now requesting renewal of its three

-year clearance under this regular collection. There are no substan tive changes to this previously

- approved collection. **3 . Describe whether, and to what extent, the collection of information involves the use of automated,** 2

**electronic, mechanical, or other technological collection techniques or forms of information technology, e.g. permitting electronic submission of response**  **s, and the basis for the decision of adopting this means of collection. Also describe any consideration**  **given to using technology to**  **reduce burden.** Impact Aid Program Section 8003 applications are prepared and submitted through an electronic application system. E

- application offers recurring LEA applicants significant advantages in preparing the application because it pre

- populates the e

- application with much of the LEA’s identifying information and Federal property codes. The e

- application automatical ly checks for completion of all necessary items and includes arithmetic checks for table subtotals and the application total. This software reduces the number of errors in applications submitted to ED. The e

- application is used only by LEAs to submit their Section 8003 applications, not by the respondents to the LEAs. As a result, the percentage of responses collected electronically is less than one percent.
**4. Describe efforts to identify duplication. Show specifically why any similar information already**  **available cannot be used or modified for use for**  **the purposes described in Item 2 above.** The information requested under these collections is not duplicated in any other data collection, is unique to this program and the particular applicants, an d is intended to serve specific purposes mandated by the statute.
**5. If the collection of information impacts small businesses or other small entities (Item 8b**  **of IC Data**  **Part 2 ), describe any methods used to minimize burden.**  Small businesses are not i mpacted by this data collection.
**6. Describe the consequences to Federal program or policy activities if the collection is not conducted or is conducted less frequently, as well as any technical or legal obstacles to reducing burden.**  The statute requir es applicants to apply for funds annually and authorizes the payment of funds based upon those annual applications. Without the annual information, the Department would not be able to disburse these funds efficiently and accurately. In addition, some information collected through the application is used to monitor that recipient LEAs are meeting statutory requirements.
**7. Explain any special circumstances that would cause an information collection to be conducted in a manner:** 

 requiring respondents to report information to the agency more often than quarterly;

 requiring respondents to prepare a written response to a collection of information in fewer than 30 days after receipt of it;3  requiring respondents to submit more than an original and two copies of any document;

 requiring respondents to retain records, other than health, medical, government contract, grant
- in

- aid, or tax records for more than three years;

 in connection with a statistical survey, that is not designed to produce valid and reliabl e results than can be generalized to the universe of study;

 requiring the use of a statistical data classification that has not been reviewed and approved by OMB;

 that includes a pledge of confidentiality that is not supported by authority established in statute or regulation, that is not supported by disclosure and data security policies that are consistent with the pledge, or that unnecessarily impedes sharing of data with other agencies for compatible confidential use; or

 requiring respondents to subm it proprietary trade secrets, or other confidential information unless the agency can demonstrate th a t it has instituted procedures to protect the information’s confidentiality to the extent permitted by law. The regulations do not require the information collection to be conducted in a manner inconsistent with the requirements of 5 CFR 1320.5.

**8. If applicable, provide a copy and identify the date and page number of publication in the Federal**  **Register of the agency’s notice, required by 5 CFR 1320.8(d) , soliciting comments on the information**  **collection prior to submission to OMB. Summarize public comments received in response to that notice and describe actions taken by the agency in response to these comments. Specifically address**  **comments received o n cost and hour burden.**  **Describe efforts to consult with persons outside the agency to obtain their views on the availability of data, frequency of collection, the clarity of instruction and record keeping, disclosure, or reporting**  **format (if any), and on the data elements to be recorded, disclosed, or reported.**  **Consultation with representatives of those from whom information is to be obtained or those who must compile records should occur at least once every 3 years**  **– even if the collection of informatio**  **n activity is the same as in prior periods. There may be circumstances that may preclude consultation in**  **a specific situation. These circumstances should be explained.** The Impact Aid Program Director regularly consults formally and informally with appli cant LEAs, as well as with the leaders of the National Association for Federally Impacted Schools (NAFIS), the National Council of Impacted Schools (NCIS), the National Indian Impacted Schools Association, and the Military Impacted Schools Association. Th ese consultations have yielded insight into the difficulties that school officials may have in completing the applications. The Department attempts to mitigate these problems whenever possible.
9. **Explain any decision to provide any payment or gift to respondents, other than remuneration of**4

**contractors or grantees.** The information collection does not require gifts or payments to be made to respondents.
**10. Describe any assurance of confidentiality provided to respondents and the basis for the assurance**  **in statute, regulation, or agency policy.** The information co llection requires no assurance o f confidentiality.
**11. Provide additional justification for any questions of a sensitive nature, such as sexual behavior and**  **attitudes, religious beliefs, and other matters that are commonly considered private. The justification should include the reasons why the agency considers the questions necessary, the specific uses to be**  **made of the in formation, the explanation to be given to persons from whom the information is**  **requested, and any steps to be taken to obtain their consent.** The information collection does not include any questions of a sensitive nature.

12. **Provide estimates of the ho ur burden of the collection of information. The statement should :**  **Indicate the number of respondents, frequency of response, annual hour burden, and an explanation of how the burden was estimated. Unless directed to do so, agencies should not conduct s**  **pecial surveys to obtain information on which to base hour burden estimates. Consultation with a sample**  **(fewer than 10) of potential respondents is desirable. If the hour burden on respondents is expected to vary widely because of differences in activity** **, size, or complexity, show the range of estimated hour burden, and explain the reasons for the variance. Generally, estimates should not include burden**  **hours for customary and usual business practices. If this request for approval covers more than one f** **orm, provide separate hour burden estimates for each form and aggregate the hour burdens in item 1**  **6 of**  **IC Data Part 1 .**  **Provide estimates of annualized cost to respondents of the hour burdens for collections of information, identifying and using appropriat** **e wage rate categories. The cost of contracting out or paying outside parties for information collection activities should not be included here. Instead, this**  **cost should be included in Item 14.** As presented in greater detail below, we estimate that it will require 12.4 1 hours per LEA applicant to collect, organize and prepare the application for Impact Aid Section 8003 assistance. This include the burden hours for a pproximately half of the LEAs that contact a local Federal official to collect residence information related to the collection of source check data. Additionally, we estimate approximately 15

1 There is a total of 15,666 burden hours for the LEA. There are 1,264 applicants in the FY 2014 application cycle. The average is calculated by dividing the total LEA burden hours by the number of applicants (15,666 total LEA hours ÷ 1,264 LEAs = 12.4).5

minutes per parent respondent to fill out the survey required by the LEA to complete the application 2

. These estimates were developed by program sta ff with prior experience in the administration of the Impact Aid Program. T he summary tables contain a fuller e xplanation of the calculations.
**Annual Burden Hours**  **By regulatory section or subsection Total**  **Annual Burden Hours**  34 CFR 222.35, 34 CFR 222.50

- 52 Tables 1

- 5 139, 14 0 34 CFR 222.37, Table 6 1,264 34 CFR 222.53 Table 7 2 17 34 CFR 222. 141

- 143 Table 8 5 Table 10 40 Housing Official Certification Form 3 **TOTAL 140,6**  **6 9** 

**Annual Task: Counting and**  **Reporting Numbers of F ederally** 
**- Connected C**  **hildren on Tables 1**
**- 5**  **Data Collection Task Respondents**  **Average Hours per Respondent**  **Total Hours**  **Explanation**
Parent

- pupil s urvey 500,000

parents 0.25 125,000 Assumes 500,000 federally

connected children identified through a survey form completed by a parent Source check with Federal official to document children living on Federal property 500 LEAs 3 1,500 Assumes 500 officials with information on the residence status of federally

- connected children complete a source check Collecting and organizing data to report on Tables 1

- 5 1, 264 LEAs 10 12,640 Assumes time to complete and organize survey/source check data on federally

connected children averages ten hours **Total 139,**  **14 0** 

2 An estimated 500,000 parents complete the parent

- pupil survey form. 500,000 *.25= 125,000 parental burden hours.6

**Additional LEA**  **Annual Reporting**  **Tasks –**  **Tables 6**  **- 1**  **0 and Supplemental Forms**  **Task Respondents**  **3 Average Hours**  **per Respondent Total** 

**Hours Explanation**  Reporting enrollment and attendance data on Table 6 1,264 LEAs 1 1, 264 Assumes each applicant uses data already collected and reported to its state education agency Collecting and reporting expenditure data for fed erally

- conne cted children with disabilities on Table 7 89 6 LEAs .25 224 The burden hours in the previous collection were duplicated here and on Tables 1

- 5. The removal of the duplication reduces the total burden hours by 1,569. Reporting children educated in federally

owned school buildings on Table 8 5 LEAs 1 5 Assumes applicants maintain data on children housed in the small number of schools owned by ED but operated by LEAs Reporting expenditures of Section 8007 funds on Table 10 159 LEAs 0.25 40 Assumes these applicants have ready access to financial reports to retrieve and report these data Indian Policies and Procedures (IPPs) 625 0 0 The LEA does not have to collect any new information to meet this requirement, so the time associated with this form is too small to calculate (<5 minutes per applicant) Contact Form for Housing Undergoing Renovation or Rebuilding 34 0 0 The LEA does not have to collect any new information to meet this requirement, so the time associated with this form is too small to calculate (<5 minutes per applicant) Housing Official Certification F or m 20 Non

- Federal

Housing Officials .5 0 10 Amount of time for the housing official to estimate the number of school

- age children that would have resided in the housing had it not been unavailable due to renovation or rebuilding

3 FY 201 4 application cycle.7

**Estimates of annualized cost to respondents: Parent Respondents**  Estimating respondent cost at an average of $10/hour for parents completing the survey forms would be:

 $10/hour x 500,000 parents x 0.25 hours = **$1,250,000** per year **LEA Respondents** Estimating respondent costs at an average of $12/hour for school staff collecting the survey forms, populating source check forms, organizing the data, and completing the application:

 $12/hour x 15,666 hours = **$ 1**  **87 ,**  **992** per year

**Annual Total Costs** Total estimated annual cost to the public of this collection is **$ 1**  **, 44** **3 ,**  **992 .**  13. **Provide an estimate of the total annual cost burden to respondents or record keepers resulting**  **from the collection of information. (Do not include the cost of any hour burden shown in Items 12 and 14.)**  The only costs to respondents are those shown above for staff time for d ata collection and reporting. There should be no record

- keeping costs beyond those covered under customary and usual business practices.
14. **Provide estimates of annualized cost to the Federal government. Also, provide a description of the method used**  **to estimate cost, which should include quantification of hours, operational expenses (such as equipment, overhead, printing, and support staff), and any other expense that would not**  **have been incurred without this collection of information. Agencies also may aggregate cost**  **estimates from Items 12, 13, and 14 in a single table.** Federal costs associated with this collection of information are generally those normally associated with Department staff conducting program monitoring. **Application Receipt and Logging**  Signed Assurances Received Hours per

Application Total Staff Hours Wage Rate for Personnel **4** Total Receipt and

Logging Cost 1 , 264 0 .25 hours 316 $ 35.88 $ 11,338 **Application Review**

4 201 3 Pay r ate for a GS

- 12/1 = $35.888

Applications Time in

Property Review per Application Total

Hours Wage Rate for

Personnel **5** Total

Personnel Cost Other

Costs Total Cost of

Review

1 , 264 4 hours 5 , 056 $ 46.64 $ 235 , 811 0 $ 235,811 Applications Time in

Application Review per Application Total

Hours Wage Rate for

Personnel Total

Personnel Cost Other

Costs Total Cost of

Review

1 , 264 24 hours 30 , 336 $ 46.64 $ 1 , 414, 87 1 0 $1, 414,871 

### Total $ **1 ,**  **662 ,**  **020**

**15. Explain the reasons for any program changes or adjustments to #16f of the IC Data Part 1 Form.**  By using the actual numbers of respondents for each part of the application, rather than an estimate, we were able to be more precise about the total time required. There was a duplication of hours for Tables 1 & 2 in the prior collection, which when remo ved, reduces the number of burden hours. Finally, the legislative change to the previous Tables 9 & 11 also reduced the burden hours for this information collection tool. Previously, each LEA had to report the individual address, the number of school

- age children, and the date the unit was vacated for renovation or rebuilding. The number of units reported annually totaled more than 5,000 for approximately 40 LEAs. A technical amendment passed as part of the National Defense Authorization Act of 2013, sig nificantly simplified the process by requiring the housing official to provide only the aggregate number of school

- age children that would have resided in the units had they not been undergoing renovation or rebuilding and the date the construction project began. This change completely eliminated any burden associated with Tables 9 & 11.
16. **For collections of information whose results will be published, outline plans for tabulation and publication. Address any complex analytical techniques that will b** **e used. Provide the time schedule for the entire project, including beginning and ending dates of the collection of information,**  **completion of report, publication dates, and other actions.** The collection of information does not require publication of the information or use of complex analytical techniques.

17. **If seeking approval to not display the expiration date for OMB approval of the information collection, explain the reasons that display would be inappropriate.**  The OMB approval number will be displayed on the forms.

18. **Explain each exception to the certification statement identified in the Certification of Paperwork** 

5 201 3 Pay rate for a GS

- 12/10 = $46.649

**Reduction Act .**  There are no proposed exceptions to the certifications.